Individual
LINDA DIANN BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
PO BOX 17597, OKLAHOMA CITY, OK 73136-1597
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0024080
OK
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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